护理质控改进在提高护理质量中的应用

目的探讨建立健全护理质量管理体系，在提高护理质量中的应用。方法依据江苏省三级医院护理质量评审标准，强化全体护理人员的质控意识，完善护理质控体系，建立健全各种软件资料，质控小组运用PDCA循环法进行督查。比较质控改进前后护理质量情况。结果2011年护理质量检查中护理服务满意度、住院患者护理质量、病区管理、消毒隔离、急救药品与器材、护理文件书写及功能科得分分别为（98．5±0．5），（94．5±0．6），（96．6±0．3），（98．4±0．4），（99．4±0．2），（98．8±0．3），（94．8±0．3）分，均明显高于2009年的（92．5±0．5），（90．5±0．5），（91．5±0。3），（90。4±0．2），（96．4±0．3），（95．5±0．3），（91．3±0．5）分，差异均有统计学意义（t分别为25．456，17．741，36．062，53．666，24．962，23．335，18．007；P〈0．01）。结论进行护理质控改进，实施护理质量管理，对护理质量的持续改进有重要作用。

Application of nursing quality control system in improving nursing quality

Objective To explore the application of nursing quality management system in improving nursing quality. Methods According to the nursing quality assessment standards of three stage hospital inJiangsu, nurses＇ awareness of quality control was strengthened, nursing quality control system was improved, all kinds of software data was established and perfected and PDCA method was used to conduct inspection by quality control group. Nursing quality was compared before and after the application of the system. Results In 2011, the scores of nursing service satisfaction, inpatients＇ nursing quality, ward management, disinfection and segregation, first-aid drugs and equipment, nursing paper writing and functional department in nursing quality examination were （98.5 ±0. 5 ）, （ 94.5 ±0. 6）, （96.6 ±0. 3 ）, （98.4±0. 4 ）, （ 99.4 ±0. 2 ）, （98.8 ±0. 3 ）, （ 94.8 ±0. 3 ）, respectively, all of which were significantly higher than those in 2009 E （ 92.5 ±0. 5 ）, （ 90.5 ± 0.5） ,（91.5±0. 3）, （90.4 ±0. 2）, （96.4 ±0. 3）, （95.5 ±0. 3） , （91.3 ±0. 5）, respectively] ,and the differences were statistical significant （t = 25. 456, 17. 741,36. 062,53. 666, 24. 962, 23. 335, 18. 007, respectively ;P 〈 O. O1 ）. Conclusions Improvement of nursing quality control and nursing quality management has an important effect on the continuous improvement of nursing quality.